<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
        <meta name="Keywords" content="{:C('c_keyword')}" />
        <meta name="Description" content="{:C('c_desc')}" />
        <meta http-equiv="X-UA-Compatible" content="IE=EmulateIE7" />
        <title>{:C('c_title')}</title>
        <link rel="shortcut icon" href="favicon.ico" />
        <link rel="icon" href="animated_favicon.gif" type="image/gif" />
        <link rel="stylesheet" type="text/css" href="__CSS__/home/goods.css" />
        <link rel="stylesheet" type="text/css" href="__CSS__/home/68ecshop_common.css" />
        <link rel="stylesheet" type="text/css" href="__CSS__/home/index.css" />
        <link rel="stylesheet" type="text/css" href="__CSS__/home/store_joinin.css" />
        <script src="__JS__/jquery-1.8.3.min.js" type="text/javascript" charset="utf-8"></script>
        <script src="__JS__/taodudu.lib.js" type="text/javascript" charset="utf-8"></script>
        <script type="text/javascript" src="__JS__/jquery.form.js"></script>
        <script type="text/javascript" src="__JS__/tips/toastr.min.js"></script>
        <script type="text/javascript" src="__JS__/layer/layer.js"></script>
        <script type="text/javascript" src="__JS__/jquery.layer.js"></script>
        <style type="text/css">
            .recom_index{overflow: hidden;}
        </style>
    </head>
	<body>
	    <include file="Public/head_a" />
        <include file="Public/head_b" />
        <include file="Public/head_c" />

        <div class="store-joinin-apply">
            <div class="main">
                <div id="apply_company_info" class="apply-company-info" style="display: block;">

                    <form id="myform" name="form_company_info" action="{:U('Storejoinin/index')}" method="post" enctype="multipart/form-data">
                        <table border="0" cellpadding="0" cellspacing="0" class="all">
                            <thead>
                            <tr>
                                <th colspan="2" align="left">申请入驻淘嘟嘟</th>
                            </tr>
                            </thead>
                            <tbody>
                            <tr>
                                <th><i>*</i>公司名称：</th>
                                <td><input name="company_name" type="text" value="" class="w200" required="">
                                    <span></span></td>
                            </tr>
                            <tr>
                                <th><i>*</i>公司详细地址：</th>
                                <td><input name="company_address_detail" class="w200" type="text" value="" required="">
                                    <span></span></td>
                            </tr>
                            <tr>
                                <th><i>*</i>联系人姓名：</th>
                                <td><input name="contacts_name" type="text" class="w200" value="" required="">
                                    <span></span></td>
                            </tr>
                            <tr>
                                <th><i>*</i>联系人电话：</th>
                                <td><input name="contacts_phone" type="text" class="w200" value="" required="">
                                    <span></span></td>
                            </tr>
                            <tr>
                                <th><i>*</i>经营产品：</th>
                                <td><input type="text" name="business_sphere" size="45" value="" class="w200" required="">
                                    <span></span></td>
                            </tr>
                            <tr>
                                <th><i>*</i>备注：</th>
                                <td><input type="text" name="remarks" size="45" value="" class="w200" required="">
                                    <span></span></td>
                            </tr>
                            <tr>
                                <th><img src="{:U('verify')}" alt="captcha" style="vertical-align: middle; cursor: pointer; height: 35px;" onclick="this.src='{:U('verify')}?'+Math.random()"></th>
                                <td><input type="text" name="captcha" size="45" value="" class="w200" required="">
                                    <span></span></td>
                            </tr>
                            </tbody>
                            <tfoot>
                            <tr>
                                <td colspan="20">&nbsp;</td>
                            </tr>
                            </tfoot>
                        </table>
                        <div class="bottom">
                            <input type="submit" value="提交申请" class="btn" >
                        </div>
                    </form>
                </div>
            </div>
        </div>





	    <div style="clear: both"></div>
        <div class="site-footer">
            <div class="footer-related">
                <include file="Public/bootom_a" />
                <include file="Public/bootom_b" />
                <include file="Public/bootom_c" />
            </div>
        </div>
        <script>
            $('#myform').layer({});
        </script>
	</body>
</html>	
	